Keep abreast of Healthcare billing regulations and convey updates of billing principles and industry practices to billing department.Responsible for analyzing profits from month to month and delivering a quarterly trend report to management.Assisted in data mining projects that had to be put into presentations that were given directly to management once per month.Analyze workflow for improvement in procedural billingStudied operational workflow, implement policies and procedures to assist in resolution Assisted in doing monthly business analysis reports for the purchasing and accounting departments.Maintain 97-98.7% procedure reimbursement quarterly.Prepare End of month, quarterly and annual reports with analytical data to Executive Vice- President of operations, CFO and CEO for B.O.D and Finance committee meetings. Responsible for staffing and training, along with all revenue cycle activities Sourced candidates through conventional and unconventional platformsOversee Talent Acquisition Specialist but also worked as an individual contributorPrepared offers, created and implemented strategic closing plans, and negotiated compensation packagesWork closely with senior management to design, build, and implement a recruiting processContinuously develop and implement management controls and quality assurance processes to ensure the accuracy, productivity and efficiency of claims submission, payments and postings.Doing business studies on past, future, and comparative performance and developing forecast modelsIdentifying trendsTracking actual financial results in comparison with company forecastsComparing and correcting data in regards to transactionsEnsure all external and internal audits runs smoothly with less than 3% errors

Increased the revenue by six million dollars within the first nine months in management positionOversee medical billing financials including accurate and timely billing, posting of charges, payments and refunds  minimizing bad debt write-offsMonitor daily operating activity of department; set priorities and make necessary adjustments in staff work assignments. Maintain acceptable aging of accounts receivable and adequate cash collections consistent with the guidelines in the policy and procedure manual; continuously monitors existing policies and recommend revisions as necessary. Handle the most serious billing disputes and deal with difficult situations such as questions regarding billing processes, 3rd party carriers, billing policies and procedures, etc.Review current status of all patient accounts to identify and resolve billing and processing problems in a timely manner; audit problem accounts.Reduce Unapplied Cash – promptly investigating and resolving unapplied cash as evidenced by declining balances in the account.

Under the general direction of the Director of Billing/Collections, assistance in managing, implement and monitor all billing and insurance operation to ensure proper Billing and Collections. Provide assistance in support as required to bring problem situations to a satisfactory resolution.Responsible for all aspects of pre-certifications and patient referral for surgery, for all facilities and mobile sites. Posting of insurance charges and payment, ENIC, etc. Contract negotiation for insurance companies and patients. Daily phone contact with patients regarding Plan Benefits, Deductibles, and Co-payment.New Employee Training.

Lead Billing Consultant for a new Radiology Group within Kings County Hospital. Responsible for all Radiology Billing. (Inpatient/Outpatient) Credentialed group practice as well as each individual Radiologist to all major insurance carriers. Work closely with President of group to redefine statues of group, implementing Liaison for system administrators. Complete and oversee a variety of professional assignments to review, evaluate, authorize and monitor services provided and received. Implement and apply medical cost containment procedures and guidelines to providers. Submit procedure and diagnosis claims to insurance companies for reimbursement. Maintain correspondence and monthly radiology reports.